Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

North Dakota Surgery Center, LLC (NPI 1164428272)

Field	Value
Entity Type	Organization
Organization	North Dakota Surgery Center, LLC
Address	2600 47th Ave South
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 23, 2005

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

NORTH DAKOTA SURGERY CENTER, LLC is effectively a Medicare-centered ambulatory surgical clinic: lifetime Medicare revenue is $1.7M and there is no Medicaid billing on file, indicating the practice operates predominantly within the Medicare payer market. The provider’s taxonomy (Ambulatory Surgical Clinic/Center) and its billing footprint align with outpatient surgical services focused on older adults covered by Medicare.

Revenue is highly concentrated in a small number of high-value procedures: the precomputed top 3 Medicare codes account for 62.8% of this provider’s total Medicare revenue, led by 66984 at $571.4K (34.1%), followed by 27447 at $265.2K (15.8%) and J1097 at $214.9K (12.8%). This concentration signals that a few procedure types drive the bulk of financial performance rather than a broad, evenly distributed case mix.

The code mix points to a dual focus on ophthalmology and orthopedics as core service lines: 66984 (cataract extraction with IOL) is the single largest revenue driver, while 27447 and 27446 (knee replacement procedures) and 27130 (hip replacement) together indicate a meaningful joint-replacement and orthopedic workload. Complementary arthroscopy and soft-tissue procedures (29881, 29880, 29827, 29824) and foot procedures (28750, 28285) further suggest the ASC supports a mix of same-day ophthalmic, large-joint implant, and outpatient orthopedic cases.

Competitive standing varies by procedure: for cataract surgery 66984 the provider ranks #2349 of 15965 providers nationally (85th percentile; typical, unremarkable volume for this code), showing above-median national volume for that procedure. By contrast, joint replacement 27447 ranks #4474 of 12089 (62th percentile; typical, unremarkable volume for this code), and the ophthalmic irrigation J1097 ranks #105 of 443 (76th percentile; typical, unremarkable volume for this code), indicating the center is a solid but not dominant national player across its top codes.

There are pockets of relatively high percentile positioning for smaller revenue lines that may reflect local specialization: 28285 (hammertoe repair) contributes $33.9K (2.0% of Medicare revenue) and ranks in the 92th percentile, and C9088 (bupivacaine and meloxicam instillation) ranks #10 of 52 (82th percentile) despite modest revenue impact. These items suggest the ASC performs some procedures at volumes well above many peers, even if they are not the primary revenue drivers.

Reimbursement profile highlights dependence on high-reimbursement implant procedures: 27447 has an average paid per claim of $6630 and 27130 averages $6497, so a relatively small number of joint-replacement claims can generate large shares of revenue. That dynamic, together with the top-3 concentration (62.8%), means revenue sensitivity is concentrated in a few high-dollar procedures.

Operational and payer-mix risk: with $1.7M in Medicare revenue and no Medicaid billing on file, the facility is effectively single-payer (Medicare) in scale; this increases exposure to Medicare policy changes, payment adjustments, and shifts in outpatient surgery reimbursement rules. Diversification into additional payers or service lines would materially alter financial risk given the current revenue concentration.

Tenure and scale context: the NPI was enumerated on 2005-06-23 (~21 years ago), indicating long-standing operation, but the lifetime Medicare revenue of $1.7M and largely mid-to-lower national ranks across many codes (multiple codes described as "typical, unremarkable volume for this code") point to a modestly sized, regionally focused ASC rather than a high-volume national center.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	730	$790	$571.4K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	40	$6,630	$265.2K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	2,830	$80	$214.9K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	20	$6,590	$138.3K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	20	$6,500	$123.4K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	40	$2,340	$88.9K
28750	In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…	20	$3,150	$69.3K
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	60	$580	$33.9K
23412	In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…	10	$2,000	$28.1K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	10	$1,550	$20.1K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

North Dakota Surgery Center, LLC — 2 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	4	10	3,660	$80	$272.3K
66984	8	100	50	$350	$61.2K
66991	5	10	30	$1,320	$50.1K
27447	26	60	40	$1,110	$47.9K
27446	1	10	20	$2,300	$43.6K
27130	28	40	30	$970	$35K
15823	6	10	30	$480	$27.2K
28750	1	10	20	$1,250	$22.5K
29827	11	10	20	$860	$20.8K
64721	10	10	40	$390	$16.3K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Dakota Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Sczepanski	ND	Ophthalmology Physician	$545.7K	$0
David Schall	ND	Orthopaedic Surgery Physician	$268.1K	$0
Darin Leetun	ND	Sports Medicine (Orthopaedic Surgery) Physician	$102.7K	$0
John Miller	CO	Foot & Ankle Surgery Podiatrist	$17.9K	$0

Nearby Providers

Other providers in the same ZIP code as North Dakota Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0

North Dakota Surgery Center, LLC — Billing Profile & Reimbursement Data

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North Dakota Surgery Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References